Chicken bone-induced ileal perforation peritonitis mimicking duodenal perforation peritonitis: a case report.

Autor: Dev S; Department of General Surgery, Tribhuvan University Teaching Hospital., Pokhrel KM; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu., Mulmi U; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu., Devkota S; Department of General Surgery, Tribhuvan University Teaching Hospital., Dev B; Nepalgunj Medical College and Teaching Hospital, Banke, Nepal., Bhattarai A; Department of General Surgery, Tribhuvan University Teaching Hospital.
Jazyk: angličtina
Zdroj: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Oct 17; Vol. 85 (12), pp. 6202-6205. Date of Electronic Publication: 2023 Oct 17 (Print Publication: 2023).
DOI: 10.1097/MS9.0000000000001404
Abstrakt: Introduction: Foreign body ingestion can lead to bowel perforation and peritonitis. We present a case of a 54-year-old male who ingested a chicken bone, resulting in ileal perforation that mimicked duodenal perforation peritonitis.
Case Presentation: The patient has a history of peptic ulcer disease and regularly used non-steroidal anti-inflammatory drugs over the counter, adding more evidence to the provisional diagnosis of duodenal perforation. Exploratory laparotomy revealed the ileal perforation and the chicken bone was successfully removed. Wedge resection of the perforated segment and ileo-ileal anastomosis were performed.
Discussion: Although history, examination, and investigation were more in favor of duodenal ulcer, our patient had ileal perforation due to chicken bone. Prompt identification and early surgical intervention are crucial to prevent complications and reduce mortality rates. The patient had an uneventful recovery.
Conclusion: Timely referral to a tertiary care center is essential for early surgical intervention and successful management of bowel perforation caused by a foreign body.
Competing Interests: There are no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE